SEAN P BOLEY MD
NPI 1659630309
Emergency Medicine in Saint Paul, MN
About Sean P Boley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEAN P BOLEY MD (NPI 1659630309) is an individual emergency medicine provider in Saint Paul, Minnesota, licensed in Minnesota (59331) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sean P Boley Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
15Medicare enrollment records show Sean Boley reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- Also billed through NPI 1003205410 (Wisconsin)
- 3,733 clinicians in this Medicare group
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Healtheast Medical Research Institute
- 2,361 clinicians in this Medicare group
Saint Paul, MN 55101
- Reassigned Medicare billing, Minnesota enrollment
- 393 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- 218 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 clinicians in this Medicare group
Stillwater, MN 55082
- Reassigned Medicare billing, Minnesota enrollment
- 94 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Allina United Hospital
Acute Care Hospitals · Saint Paul, MNRegions Hospital
Acute Care Hospitals · Saint Paul, MNWestern Wisconsin Health
Critical Access Hospitals · Baldwin, WIRiver Falls Area Hospital
Critical Access Hospitals · River Falls, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sean Boley's NPI number?
The NPI number for Sean Boley is 1659630309. It was assigned to this individual provider in the NPPES registry on May 15, 2012.
Where is Sean Boley located?
Sean Boley practices at 333 North Smith Avenue Emergency Care Consultants, United Hospital, Saint Paul, MN 55102. The listed phone number is (612) 863-6590.
What is Sean Boley's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Sean Boley enrolled in Medicare?
Yes. Sean Boley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sean Boley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sean Boley reassigns Medicare benefits to 15 organizations: Allina Health System (Saint Paul, MN), Fairview Express Care (Saint Paul, MN), Healtheast Medical Research Insititue (Saint Paul, MN), Regions Hospital (Saint Paul, MN), Healtheast St. John's Hospital (Saint Paul, MN) and 10 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Boley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sean Boley accept?
Health plans from Sanford Health Plan list Sean Boley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Sean Boley affiliated with any hospitals?
According to CMS data, Sean Boley is affiliated with Allina United Hospital, Regions Hospital, Western Wisconsin Health and River Falls Area Hospital.
When was this NPI record last updated?
The NPPES record for Sean Boley was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sean P Boley, MD · NPI 1659630309
Emergency Medicine physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since May 15, 2012.
## Identity
- **NPI:** 1659630309 (Entity type: Individual)
- **Enumerated:** May 15, 2012
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 59331 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 333 NORTH SMITH AVENUE, EMERGENCY CARE CONSULTANTS, UNITED HOSPITAL, Saint Paul, MN 55102
- **Phone:** (612) 863-6590
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 15 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1891738282, Saint Paul, MN); Fairview Express Care (NPI 1275277204, Saint Paul, MN); Healtheast Medical Research Insititue (NPI 1417145517, Saint Paul, MN); Regions Hospital (NPI 1154359917, Saint Paul, MN); Healtheast St. John's Hospital (NPI 1558240853, Saint Paul, MN); and 10 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania State University College Of Medicine, class of 2012
## Record status
- **NPPES last updated:** May 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1659630309) · Data from the CMS NPPES public registry.